Maryland



Measure Data SourceFrequencyNotes# of observation stays*HSCRC case mix DataQuarterly# of Transfers*HSCRC case mix DataQuarterly# beds/ downsizingMHCC approved Certificate of Need AnnuallyBeds versus occupancy rates?Hospice (or palliative care) use trends*HSCRC case mix DataQuarterlyStaffing levels?HSCRC annual filing and wage and salary tables AnnuallySee reporting categories in AppendixED wait times?CMS Emergency Room measures QuarterlyInpatient Quality Reporting data for patients admittedOutpatient Quality Reporting data for patients not admitted (later)Payer*Ability to filter by payer?All PayerMedicare Fee for service (Age 65+ only)Persons dually eligible for Medicare and MedicaidHigh Utilizers*Ability to filter by high utilizer?Start with:Medicare fee for service program (age 65+) with 2+ chronic conditionsAll payer with 3+ bedded care visitsMedicare (managed care and fee for service, all ages) HSCRC Key Measures for Transformation Partnerships #MeasureDefinitionNumeratorDenominator1Total hospital cost per capitaHospital charges (total cost) per personHSCRC case mix: Inpatient, Outpatient, ChronicUse Clairtas projection for 2015. for hospital Primary Service Area2Total hospital admits per capitaAdmissions- count per thousandHSCRC case mix: Inpatient, Outpatient, ChronicSee above 3Total health care cost per personAggregate payments/ personHSCRC Total Cost Report4ED visits per capitaEmergency Dept. encounters per thousandHSCRC case mix:Outpatient??See above 5Readmissions per capitaRRIPHSCRC Case mix with CRISP readmission flagsSee above6Potentially Avoidable Utilization (PAU)Total PAU charges over Total chargesTotal PAU charges Total charges from HSCRC Case mix 7Patient experienceOn scale of 1 to 10, % rating 9 or 10Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey8Composite quality measuresTBD9Use of encounter notification alerts% inpatient discharges with an ENS alertdischarges where an Encounter Notification System message was sent to a non-hospital providerHSCRC Case mix inpatient and observation cases greater than 24hrs10Completion of health risk assessments% High utilizers with completed Health Risk AssessmentsPartnership data on completed health risk assessmentsCRISP defined High Utilizers?11Established longitudinal care plan% High Utilizers Patients with completed carePartnership data on completed careCRISP defined High Utilizers?12Share Care Profile% patients with care plans with data shared through HIE in Care ProfileCRISP HIE shared care profileCRISP defined patients with care plans13Portion of target population with contact from assigned care manager% High Utilizers Patients with contact with an assigned care managerPartnership data on contact with assigned care managerCRISP defined High Utilizers?Schedule D of the hospital Financial Annual Filing enables each hospital to report expenses and FTEs for the following patient care units.Center NomenclatureAccount NumberCodeD1 Medical Surgical Acute 6010 MSGD2 Pediatric Acute 6170 PEDD3 Psychiatric Acute 6210 PSYD4 Obstetric Acute 6250 OBSD5 Definitive Observation 6280 DEFD6 Medical Surgical Intensive Care 6310 MISD7 Coronary Care 6330 CCUD8 Pediatric Intensive Care 6350 PICD9 Neonatal Intensive Care 6370 NEOD10 Burn Care 6380 BURD11 Psychiatric Intensive Care 6390 PSID12 Shock Trauma 6411 TRMD13 Oncology 6411 ONCD14 Newborn Nursery 6412 NURD15 Premature Nursery 6510 PRED16 Skilled Nursing Care 6610 NFD17 Chronic Care 6640 CRHD18 Emergency Services 6710 EMGD19 Clinic Services 6720 CLD20 Psych Day/Night Care 6940 PDCD22 Same Day Surgery 7060 SDSD23 Labor & Delivery 7010 DELD24 Operating Room 7040 ORD24A Operating Room Clinic 7070 ORCD25 Anesthesiology 7080 ANSD26 Medical Supplies Sold 7110 MSSD27 Drugs Sold 7150 CDSD28 Laboratory Services 7210 LABD30 Electrocardiography 7290 EKGD31 Interventional Rad/Cardio 7310 IRCD32 Radiology Diagnostic 7320 RADD33 Cat Scanner 7340 CATD34 Radiology Therapeutic7360 RATD35 Nuclear Medicine 7380 NUCD36 Respiratory Therapy 7420 RESD37 Pulmonary Function Testing 7440 PULD38 Electroencephalography 7460 EEGD39 Physical Therapy 7510 PTHD40 Occupational Therapy 7530 OTHD41 Speech Therapy 7550 STHD42 Recreational Therapy 7570 RECD43 Audiology 7580 AUDD44 Other Physical Medicine OPMD45 Renal Dialysis 7710 RDLD46 Organ Acquisition 7730 OAD47 Ambulatory Surgery 6930 AORD48 Leukopheresis 7911 LEUD49 Hyperbaric Chamber 7912 HYPD50 Freestanding Emergency 6960 FSED51 MRI Scanner 7350 MRID53 Lithotripsy 7355 LITD54 Rehabilitation 6620 RHBD55 Observation 6750 OBVD56 Ambulance Services Rebundled 7920 AMRD57 Transurethral Microwave Thermo Therapy7365 TMTD58 Oncology Clinic ONCD59 Transurethral Needle Ablation TNAD70 Psychiatric Adult 6220 PADD71 Psychiatric Child/Adolescent6230 PCDD73 Psychiatric Geriatric 6249 PSGD74 Individual Therapies 7671 ITHD75 Group Therapies 7672 GTHD76 Family Therapies 7673 FTHD77 Psychological Testing 7675 PSTD78 Education 7674 PSED79 Other Therapies 7689 OPTD80 Electro Convulsive Therapy7676 ETHD81 Activity Therapy 7677 ATHSchedule P3 of the Hospital Annual Filing enables each hospital to report wages, salaries and fringe benefits for physician support administration and supervision support services, excluding Certified Nurse Anesthetists, for the following functional cost centers.NomenclatureAccount Number/CodeMedical Surgical Acute 8740 MSGPediatrics Acute 8740 PEDPsychiatric Acute 8740 PSYObstetrics Acute 8740 OBSDefinitive Observation 8740 DEFM/S Intensive Care 8740 MISCoronary Care 8740 CCUPediatric Intensive Care 8740 PICNeo Natal Intensive Care8740 NEOBurn Care 8740 BURPsychiatric Intensive Care 8740 PSIShock Trauma 8740 TRMOncology 8740 ONCNewborn Nursery 8740 NURPremature Nursery 8740 PRERehabilitation 8740 RHBIntermediate Care 8740 ICCEmergency Services 8740 EMGClinic Services 8740 CLPsych. Day & Night Care 8740 PDCLabor & Delivery Services 8740 DELOperating Room 8740 OROperating Room Clinic 8740 ORCAnesthesiology 8740 ANSLaboratory Services 8740 LABBlood Bank 8740 BBElectrocardiography 8740 EKGInterventional Radiology/Cardiovascular 8740 IRCRadiology Diagnostic8740 RADCT Scanner 8740 CATRadiology Therapeutic8740 RATNuclear Medicine 8740 NUCRespiratory Therapy 8740 RESPulmonary Function 8740 PULElectroencephalography 8740 EEGPhysical Therapy 8740 PTHOccupational Therapy 8740 OTHSpeech Language Pathology8740 STHRecreational Therapy 8740 RECAudiology 8740 AUDOther Physical Medicine 8740 OPMRenal Dialysis 8740 RELMRI Scanner 8740 MRISame Day Surgery 8740 SDSKidney Acquisition 8740 KAAmbulatory Surgery 8740 AORLeukopheresis 8740 LEUHyperbaric Chamber 8740 HYPFree Standing Emergency Service 8740 FSEMRI Scanner 8740 MRICertified Nurse Anesthetist 8740 CNALithotripsy 8740 LITO/P Surgery Procedure Based 8740 AMSNormal Deliveries 8740 NDNormal Newborn 8740 NNBAnnual Wage and Salary Survey: hospitals report Costs, Numbers and FTEs by hospital staff categoryIP/OP ADM & REGISTRATION CLERKBILLING CLERKCASHIER - BUSINESS OFFICEGENERAL OFFICE CLERKDIETITIANE.K.G./CARDIOLOGY TECH.EXECUTIVE . SYSTEMS,STAFF LEVELDIETARY AIDE IGENERAL DUTY NURSEENVIRONMENTAL SERVICE WORKERSYSTEMS, PROF. LEVELPHYSICIANS ASST.LICENSED PRACTICAL NURSEMAIL CLERKMAINTENANCE MECHANIC IMAINTENANCE MECHANIC IIRCDS. & CODING CLERKMEDICAL RECORDS TECHNICIAN ARTSOCIAL WORKER (M.S.W.)SOCIAL WORKER (B.S.)NUCLEAR MEDICINE TECHNOLOGIST (REG.)NURSE PRACT./CLINICAL NURSE SPEC.PATIENT CARE/NURSING AIDE IIPHARMACY TECH.PHYS. THERAPISTRADIOLOGIC TECHNOLOGIST (RRT REG.)MRI TECHNOLOGISTRESPIRATORY THERAPIST(NBRT REG.)ADMINISTRATIVE ASST.SECURITY OFFICERSPECIAL PROCEDURES TECHNOLOGISTSTAFF & CLINICAL PHARMACISTSTATIONARY ENGINEER LICENSEDMATERIALS HANDLER, OPERATIONS LEVELSURGICAL TECH.MATERIALS HANDLER, PROF. LEVELTELEPHONE OPERATORULTRASOUND TECHNOLOGISTUNIT CLERK/SECRETARYACCOUNTANT/FINANCIAL ANALYSTACCOUNTING/ACT.PYBLE/PAYROLL CLERKCOOKC.T. TECHNOLOGISTNURSE EDUCATORSNURSE MGR. BOCCUP. THERAPISTPHYSI. & OCCUP. THERAPIST ASST.UTILIZ.REVIEW/QUAL.ASSUR.SPEC./CASE MGR.SPEECH LANGUAGE PATHOLOGIST/AUDIO.HUMAN RESOURCES, ASSOCIATE LEVELHUMAN RESOURCES, MGMT. LEVELOTHER HOSPITAL SPECIFICOTHER NON-HOSPITAL SPECIFICTOTAL ................
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